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[PDF File]Vaccine Information Statement: Recombinant Zoster ...
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4 Risks of a vaccine reaction With any medicine, including vaccines, there is a chance of reactions. After recombinant shingles vaccination, a person might experience: Pain, redness, soreness, or swelling at the site of the
[PDF File]Request Pertaining to Military Records, SF 180 (11-15)
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INSTRUCTION AND INFORMATION SHEET FOR SF 180, REQUEST PERTAINING TO MILITARY RECORDS 1. General Information. The Standard Form 180, Request Pertaining to Military Records (SF180) is used to request information from military records. Certain identifying information is necessary to determine the location of an individual's record of military service.
[PDF File]Instructions for Form 5472 (Rev. December 2018)
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2. Less than full consideration was paid or received. Transactions with a U.S. related party, however, are not required to be specifically identified in Parts IV and VI. Foreign person. A foreign person is: • An individual who is not a citizen or resident of the United States; • An individual who is a citizen or resident
[PDF File]2018 Instructions for Form 709
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of the money (or property) received is less than the value of what is sold or exchanged. The gift tax is in addition to any other tax, such as federal income tax, paid or due on the transfer. The exercise or release of a general power of appointment may be a gift by the individual possessing the power. General powers of appointment are those in ...
[PDF File]FL-150 INCOME AND EXPENSE DECLARATION
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Income (For average monthly, add up all the income you received in each category in the last 12 months and divide the total by 12.) FL-150 [Rev. January 1, 2019]
[PDF File]Indiana Parenting Time Guidelines
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Indiana Parenting Time Guidelines and should be specific in their written agreement. 3. Presumption. There is a presumption that the Indiana Parenting Time Guidelines are applicable in all cases. Deviations from these Guidelines by either the parties or the cou rt that result in parenting time less than the minimum
[PDF File]Protect Your Family From Lead In Your Home
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Protect Your Family From Lead In Your Home United States Environmental Protection Agency United States Consumer Product Safety Commission U.S. EPA Washington DC 20460 EPA747-K-99-001
[PDF File]Request for Leave or Approved Absence
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Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))
[PDF File]Oswestry Low Back Disability Questionnaire - Rehabilitation
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The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the ‘gold standard’ of low back functional outcome tools [1]. Scoring instructions
[PDF File]Patient Health Questionnaire (PHQ-9)
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occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a history of a Manic Episode (Bipolar Disorder), and a physical disorder, medication, or other drug as the biological cause of the depressive symptoms.
[PDF File]APPLICATION FOR 10-POINT VETERAN PREFERENCE (TO BE USED BY ...
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present existence of the veteran's service-connected disability of less than 10%. • An official citation, document, or discharge certificate, issued by a branch of the Armed Forces, showing the award to the veteran of the Purple Heart. •. An official statement, dated 1991 or later, ...
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